CRG Building Contents Change Form Your First Name * Your Last Name * Your Email Address * County/Entity Name * Effective Date of Change * Building Details If any of the information below does not apply, enter N/A or 0. Choose One * Add Change Delete Building Name * Building Physical/Street Address * Building Physical/Street Address Building Physical/Street Address Building Physical/Street Address City City State/Province State/Province Zip/Postal Zip/Postal Year Built * Square Footage * Construction of the Building: Please select a type from the dropdown list below. * Frame (Wood)Masonry (Brick)Noncombustible (Metal)Masonry NoncombustibleModified Fire-ResistiveFire-Resistive Occupancy / use * Building Replacement Value * Contents Replacement Value * Is this location in a special hazard flood zone? * Yes No If yes, please select a flood zone from the dropdown list below. AAEV Is this location vacant? * Yes No If yes, please indicate future plans for location (i.e. sell, demolish, renovate for future office, etc.). Special Instructions More Information For more information, email CRG Underwriting at [email protected]. Enter email address to receive an email copy of this form Submit If you are human, leave this field blank.
